Assessment of the potential and likelihood of future adverse health effects as determined by identified risk factors.

Use

Use to record known risk factors for an identified disease, condition, or other potentially adverse health issue, and/or an evaluation of the likelihood of the individual experiencing it in the future.
As risk factors may be gradually identified over time and the overall risk reassessed as a result, the 'Date identified' will record the date on which each risk factor has been identified and the 'Last updated' data element will record the last time that the whole assessment was updated.

Purpose

To record known risk factors for an identified disease, condition, or other potentially adverse health issue, and/or an evaluation of the likelihood of the individual experiencing it in the future.
This archetype has been deliberately left open and broad in scope. The 'Health Risk' could be determined from risk factors from any or all of: medical; biomarker; lifestyle; social; occupational hazard; or environmental domains.
The intent of this archetype is to document potential risk at a point in time, and to support decision-making that may reduce the identified risk, whether by clinicians or the individual themselves.

at0018::Present [The risk factor has been identified for this individual.]

at0026::Indeterminate [It is not possible to determine if the risk factor is present or absent.]

at0019::Absent [The risk factor has not been identified for this individual.]

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016]/items[at0014], code=at0014, itemType=ELEMENT, level=3, text=Description, description=Narrative description about the risk factor., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016]/items[at0029], code=at0029, itemType=ELEMENT, level=3, text=Date identified, description=The date/time that the risk factor was identified., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016]/items[at0028], code=at0028, itemType=ELEMENT, level=3, text=Mitigated, description=The risk factor has been identified as present, but then subsequently been mitigated by treatment or investigation., comment=Record as True if the risk factor has been treated or investigated and risk from this risk factor is considered to be lessened. For example: an infant given gentamicin in neonatal intensive care is regarded as having a risk of permanent hearing loss. If diagnostic testing shows no evidence of hearing loss in the first year of life, the risk of later hearing loss is considered to be much reduced, but still possible. This data element allows clinicians to say that the risk has been mitigated but should still be considered as a possibility in future. In practice, the risk factor could be maintained in the risk assessment in case it might impact the individual's health at a future time, but flagging that its contribution to risk calculation may not be as great as if it had not been previously treated or investigated. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Allowed values: {true}, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016]/items[at0012], code=at0012, itemType=ELEMENT, level=3, text=Link to evidence, description=Identification of the path to the archetype or data node for the evidence of risk., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016]/items[at0027], code=at0027, itemType=SLOT, level=3, text=Detail, description=Structured detail about other aspects of the risk factor assessment., comment=For example: Prevalence of the risk factor in family members., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:openEHR-EHR-CLUSTER.family_prevalence.v1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016]/items[at0030], code=at0030, itemType=ELEMENT, level=3, text=Comment, description=Additional narrative about the risk factor not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=2, text=Risk assessment, description=Evaluation of the health risk., comment=There may be multiple variations on the assessment of risk. The Choice data type allows for recording of the assessment as either free text or value sets (such as low, medium or hig). The proportion data type allows recording of a percentage, a ratio or a fraction. The quantity data type allows recording of a decimal number., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of: